Outpatient Coder - PRN Coding

Position: Outpatient Coder - PRN - Days - Coding
DHR Health - US:

TX:

McAllen - Days

Summary:

POSITION SUMMARY:

The Outpatient coder is responsible for timely review of the medical record for correct coding and sequencing of diagnoses and procedures using ICD-10-CM/PCS and CPT/HCPCS classification systems for hospital and/or professional services in accordance with coding rules and regulations. Resolves billing edits according to NCCI and/or payer specific guidelines. Identifies and reports error patterns. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).

POSITION EDUCATION/ QUALIFICATIONS:

• Coding credential from an accredited coding organization required

• Credentials from AHIMA, AAPC preferred

• Good written and verbal communication skills required.

JOB KNOWLEDGE/EXPERIENCE:

• Extensive experience in medical coding, medical terminology, and anatomy and physiology required;

• 3 year of coding experience preferred

• Proficiency in computer skills including typing speed and accuracy

• Mathematics skills

• Strong attention to detail

• Requires reasoning ability and good independent judgment

• Ability to perform productive research quickly

• Requires working with minimal interruptions

• Must have an understanding of laws and ethics related to health insurance, medical billing and Health insurance Portability and Accountability Act (HIPPA)

• Computer and coding software experience required, 3M encoder preferred

• Advanced computer skills required with knowledge of Microsoft Office suite

• Experience in Professional coding and billing a plus

• Must be able to identify medical abbreviations, terms and their meanings

• Must be able to multitask

Responsibilities:

POSITION RESPONSIBILITES:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices

• Analyzing provider documentation in detail to ensure correct ICD-10-CM/PCS, and CPT/HCPCS code assignment

• Adherence to coding guidelines and policies

• Sequence codes appropriately

• Resolves billing edits according to NCCI and/or payer specific guidelines and policies

• Maintains a high level of integrity and confidentiality of medical information

• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).

• Assures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations

• Complying with medical coding guidelines and policies

• Reviews patient charts and documents for verification and accuracy

• Ability to code outpatient record types such as:
Clinic Ambulatory, Ambulatory surgery, General surgery, ENT surgery, Eye/Vision surgery, Interventional Radiology, Orthopedic surgery, Cardiovascular surgery, Spinal surgery, Pediatric surgery, Stereotactic surgery, Reconstruction/Plastic, Ob/Gyn surgery, Dental surgery, ER, Observations, Radiation/Chemo Oncology, Infusions, etc.

• Queries physicians for clarification when ambiguous, vague, or incomplete information is identified

• Accurately attach HCPCS Level I and Level II modifiers for billing purposes

• Utilizes computerized 3M 360 Coding Software

• Utilizes and researches 3M 360 Coding references for final coding

• Identify medical abbreviations, terms and their meanings

• Codes all available records in a timely a manner

• Meets quality standards of having ≥ 95% of charts coded accurately

• Meets productivity standards set forth by coding management

• Communicates with management to solve problems and to clarify coding issues

• Assign mnemonics to unbilled accounts as appropriate

• Maintains a good working relationship within the department, other departments, and medical staff

• Assist the business office with clearing reimbursement and denial issues

• Clears AEOS in a timely manner Communicates via email and/or phone with other departments to obtain pertinent information in order to code the account

• Willing to transition into Inpatient coding

• Coding of introductory level Inpatient accounts may be required

• Communicates with RMF clinic management to ensure timely professional billing

• Ability to…